Roshni Ahuja, BDS, MDS
Individual provider Active NPI Dentist · Yakima, WA
NPI 1255064028 · NPPES record last updated Oct 28, 2022
Key facts
- NPI
- 1255064028
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DE61270908 (WA)
- Practice address
- 1120 S 18TH St
Yakima, WA 98901-3654 - Phone
- (509) 573-5530
- NPI assigned
- Jul 7, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221201002841 | WA | Order and Referring Only - Dentist |
3577931138 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Interoperability endpoints
- rahuja33787@yvfwc.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DE61270908 | WA | |
| Dentist | 122300000X | DE61270908 | WA | Yes |
Addresses
Primary practice location
1120 S 18TH St
Yakima, WA 98901-3654
Mailing address
1120 S 18TH St
Yakima, WA 98901-3654
Phone (509) 573-5530
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rahuja33787@yvfwc.direct-ci.com | Direct |
Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.